• 제목/요약/키워드: General wards

검색결과 205건 처리시간 0.029초

간호사의 모유수유에 대한 지식정도가 모유수유 간호활동에 미치는 영향 - 산과외래, 분만실, 산과병실 및 신생아실 간호사를 중심으로 (The Effects of the Nurses' Knowledge to Breast-Feeding on the Nursing Activities for Breast-Feeding)

  • 김영혜;김미정
    • Child Health Nursing Research
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    • 제3권1호
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    • pp.52-61
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    • 1997
  • This study was attempted to identify the knowledge to breast-feeding and the performance of nursing activities for breast-feeding and to test 'how does the degree of knowledge to breast-feeding influence the nursing activities for breast-feeding?' The subjects were 180 nurses working in delivery rooms, nursery, obstetrics & pediatrics wards or OPD of obstetrics & gynecology of 8 general hospitals in Pusan as of August 3 through 13, 1996. The results are abstracted as follows. 1) Subject nurses' age, 25-29 was 45.6%(the major), education levels graduates from junior college were 95.0%, unmarried status was 62.2%, 76.5% of married nurses had children, 39.7% in-service education for Breast-Feeding, 33.7% did nursing activities for breast-feeding actively, the reason for inadequate activities for breast-feeding was 'too much other tasks.' 2) The degree of knowledge to breast-feeding ; mean score was 13.54, the degree of performance of nursing activities for breast-feeding : 92.38±20.93 points out of possible 145 points (3.19±.74 out of possible 5 points) moaned that it was a low level. 3) The hypothesis 'the nurses who have higher degrees of knowledge to breast-feeding will show higher degrees of performance of nursing activities for breast-feeding than the nurses who have lower degrees of knowledge to breast-feeding' was tested by t-test(t=-.01, P=.9888), but rejected because it turned out statistically not significant at the level of P<.05. Above results suggested the degrees of knowledge to breast-feeding and the degrees of performance of nursing activities for breast-feeding were generally low and the degree of knowledge didn't influence the nursing activities. Researchers believe that the education for breast-feeding by the nurses need to be performed systemically & practically and new method of breast-feeding education program need to include hospital managers as well as nurses related mothers and their family. In audition, researchers propose the introduction of &lactation specialist system&, for the specialist can change the attitude of feeding-mothers positively with their specialty and authority.

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Prevalence and Risk Factors for the Weight Loss during Hospitalization in Children: A Single Korean Children's Hospital Experience

  • Hwang, Eun Ha;Park, Jae Hong;Chun, Peter;Lee, Yeoun Joo
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제19권4호
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    • pp.269-275
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    • 2016
  • Purpose: Undernutrition during hospitalization increases the risk of nosocomial infection and lengthens the disease courses. The aim of this study was to evaluate the risk factors of weight loss during hospitalization in children. Methods: All the patients who were admitted in general wards between April and May 2014 were enrolled. Patients aged >18 years and discharged within 2 days were excluded. Weight loss during hospitalization was defined as a decrease in body weight of >2% in 8 hospital days or on the day of discharge. Patients who lost body weight during hospitalization were compared with patients who maintained their body weights. Significant parameters were evaluated by using the multivariate logistic regression analysis. Results: We enrolled 602 patients, of whom 149 (24.8%) lost >2% of their body weight. Complaint of pain (p=0.004), admission to the surgical department (p=0.001), undergoing surgery (p=0.044), undergoing abdominal surgery (p=0.034), and nil per os (NPO) durations (p=0.003) were related to weight loss during hospitalization. The patients who had high weight-for-age tended to lose more body weight (p=0.001). Admission to the surgical department (odds ratio [OR], 1.668; 95% confidence interval [CI], 1.054-2.637; p=0.029) and long NPO durations (OR, 1.496; 95% CI, 1.102-2.031; p=0.010) were independent risk factors of weight loss during hospitalization. The patients with high weight-for-age tended to lose more weight during hospitalization (OR, 1.188; 95% CI, 1.029-1.371; p=0.019). Conclusion: Greater care in terms of nutrition should be taken for patients who are admitted in the surgical department and have prolonged duration of nothing by mouth.

The Impact of International Integration on the Inequality of Income between Rural and Urban Areas in Vietnam

  • NGUYEN, Thi Thanh Huyen;NGUYEN, Thi Thu Hien;NGUYEN, Thi Le Hang;NGUYEN, Van Cong
    • The Journal of Asian Finance, Economics and Business
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    • 제7권3호
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    • pp.277-287
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    • 2020
  • The study examines the impact of international integration on Vietnam's rural and urban income inequalities using the regression model. The data used for this study is based on the results of the Vietnam Household Living Standards survey from 2008 to 2016 of the General Statistics Office. These surveys conducted nationwide with a sample size of 46,995 households in 3,133 communes/wards which were representative at national, regional, urban, rural and provincial levels. The level of international economic integration used in the study is the proportion of import and export turnover of GDP, the proportion of FDI and GDP by province. Due to the heterogeneity and unobservableness of the single observant in the data set, we selected the models of random and fixed effects. The research results show that during the economic integration process, the Export/GDP factor is negatively related to income inequality. The remaining factors (GDP per capita, FDI/GDP, Educational level of households, Percentage of internet users, Aggregation of foreign cash inflow and GDP of the province) are all positively related to income inequality. The findings help assess the impact of international integration on rural-urban income inequality, but also provides a concrete basis to help policymakers address income inequality in the integration process.

일부 간호장교의 직무만족도와 관련요인 (Job Satisfaction and Related Factors Among Nursing Officers)

  • 김은혜;조영채
    • 한국산학기술학회논문지
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    • 제13권7호
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    • pp.3112-3122
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    • 2012
  • 본 연구는 간호장교의 인구사회학적 및 건강관련 행위 특성, 직업관련 특성 및 직무스트레스에 따른 직무만족도 수준을 알아보고, 특히 직무스트레스가 직무 만족도에 미치는 영향을 규명해 보고자 시도하였다. 조사대상은 군병원에 복무중인 육군 간호장교 350명으로 하였으며, 조사는 2011년 5월 30일부터 2011년 6월 15일까지의 기간 동안에 구조화된 무기명 자기기입식 설문지를 이용한 설문조사에 의하였다. 연구결과, 조사대상 간호장교들의 직무만족도는 연령이 높을수록, 음주군일수록, 직위가 높을수록, 근무경력이 길수록, 근무부서가 병동근무 군, 업무에 만족한다는 군, 업무의 요구도가 낮은 군, 업무의 자율성 및 상사의 지지도가 높은 군일수록 높았으며, 특히 직무스트레스 요인은 직무만족도와 높은 관련성이 있었다. 따라서 간호장교가 더욱 열심히 즐겁게 일할 수 있도록 내적 동기를 불러일으키는 직무만족도를 높여 주기 위해서는 직무스트레스 요인을 개선시키기 위한 노력이 필요할 것으로 생각된다.

Mobile IP 기반의 멀티캐스트 지원을 위한 확장된 FA 기반 멀티캐스트 라우팅 (An Extended FA-based Multicast Routing for Mobile IP-based Multicasting)

  • 강필용;신용태
    • 한국정보처리학회논문지
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    • 제7권11호
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    • pp.3490-3499
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    • 2000
  • Mobile IP 기반의 이동컴퓨팅 환경에서 멀티캐스트를 지원하기 위한 연구는 크게 HA(Home Agent) 기반 모델과 FA(Foreign Agent) 기반 모델로 구분된다. 일반적으로 라우팅 및 대역폭의 효율을 고려한다면, HA 보다는 FA 기반 모델이 효과적이다. 그러나, MH(Mobile Host)의 이동이 빈번할 경우, 가입 및 접합 지연으로 인해 연결 지속성이 떨어지는 단점이 있다. 본 논문에서는 이러한 문제를 해결하고 보다 효과적인 멀티캐스트의 지원을 위해, 확장된 FA 기반 모델을 제안한다. 제안하는 모델에서는 새로운 FA가 가입을 처리하는 동안, MH는 이전의 FA로부터 멀티캐스트 패킷을 수신한다. 즉, 기본적으로는 효율을 위해 FA에 기반해서 멀티캐스트를 지원하지만, MH가 새로운 FN(Foreign Network)으로 이동하는 경우엔 부분적으로 유니캐스트 방안을 적용하여 연결성을 향상시킨다. 제안한 모델을 평가하기 위해 연결 지속성, 대역폭 이용률, 오버헤드 및 라우팅 비용 측면에서 효율을 분석하고 기존의 연구와 비교한다.

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부산광역시 소재 병원의 신생아간호 실태조사 (A Study of the Neonatal Care in the hospitals located in Pusan)

  • 김영혜;이화자;김순구
    • 부모자녀건강학회지
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    • 제6권1호
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    • pp.31-45
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    • 2003
  • This study is designed to produce basic data on the nursing intervention between infants and mothers after discharge from hospitals. This research is carried by investigating the nursing intervention during their after-delivery staying in the hospitals located in Pusan. The object of this study includes the neonatal wards of 51 hospitals. Data collection was carried from the 3rd of September, 2001 to the 4th of October in the same year. Tools for measurement using in this research is the nursing checklist designed by these researchers. The data were analyzed by using SPSS and the output was produced in frequency and percentage considering general characteristics and nursing activities. On the course of investigation, it was revealed that the average number of items checked are as follows; total beds in one hospital came up to 360.1, the beds in each newborn infant ward came up to 36.1, in each ward the numbers of incubators came up to 9.2 and intensive care unit to 1.7. In each ward 8.4 nurses and 2.9 nurse aids were working at that time. In each hospital, secure of air way, physical examination, eye care, umbilical cord care, maintenance of body temperature, identification of infant, nutritive condition, safety and danger management, infection management, mother-infantile interaction, medical assistant to doctor, medication and discharge education were comparatively well done. But, in case of emotional, social and cognitive aspect of nursing activities through interactions between newborn infants and nurses as substitutes are not reached to the adequate level. In the end, this study hereby suggests that further investigation on the device to facilitate the interaction between newborn infant and nurse as a nursing intervention of high quality.

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Vancomycin Therapeutic Drug Monitoring 운영 실태 조사와 업무 개선 방안 (An Improvement Plan with Assessment of Therapeutic Drug Monitoring Service for Vancomycin)

  • 김해숙;이숙향
    • 한국임상약학회지
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    • 제19권2호
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    • pp.120-130
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    • 2009
  • The objective of this study was to analyze and to improve therapeutic drug monitoring(TDM) service of vancomycin in a local hospital. Patients with TDM service between September 2005 and December 2008 were included and the data were collected for vancomycin use and components of TDM. During that period, 421 cases of TDM service of vancomycin in 236 patients were retrospectively reviewed. The first dosages of vancomycin were appropriate in 135(57.2%) patients and administration of vancomycin was discontinued in 126(53.4%) patients due to therapeutic failure or adverse drug reaction. MRSA was identified in 191(80.9%) patients and 135(70.7%) samples for the identification were sputum. According to the TDM reports, 232(55.1%) serum samples were obtained at the steady-state conditions and 55.5% of the samples that were drawn before the steady-state was due to the physician's inappropriate knowledge about the steady-state. Based on the time of vancomycin administration, 35.8% of the samples were not obtained at the recommended sampling time. For the patients in general wards, the most common reason for the incorrect samples was routine serum sampling by the laboratory medicine phlebotomists between 6 and 8 a.m. except sunday. In contrast, samples drawn by nurses or physicians at inappropriate time were the most common reason for the incorrect samples with patients in the intensive care units. Physicians accepted 68.5% of the recommendations for vancomycin dosage and administration. In conclusion, TDM service of vancomycin needs to be improved in inappropriate sampling time and vancomycin dosage. For solving these problems, current team made of TDM pharmacists and physicians of laboratory medicine can be expanded to include a physician of infectious diseases, nurses and laboratory medicine phlebotomists as new members. Through the TDM service of vancomycin by the new team, we can settle the problems and make the guideline for the scientific controversies associated with therapeutic monitoring of vancomycin.

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작업치료사의 직무만족도에 따른 자아존중감과 삶의 질의 상관관계 (Correlation between Self-Esteem and Quality of Life Based on the Job Satisfaction of Occupational Therapists)

  • 이슬아;최원호;정상미
    • 대한통합의학회지
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    • 제8권1호
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    • pp.177-191
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    • 2020
  • Purpose : This study aimed to evaluate the relationship between self-esteem and quality of life according to the job satisfaction occupational therapists, and to contribute to wards providing positive directions to improve the quality of work performed by the occupational therapists and their quality of life. Methods : A total of 118 occupational therapists working on site were surveyed during the study period, from April 8, 2019, to May 10, 2019. The collected data were expressed as frequency and percentage and were subjected to Pearson's correlation analysis and multiple regression analysis using SPSS (Windows ver. 20.0). Results : First, the occupational therapists' job satisfaction job satisfaction averaged 3.20 points, with the highest chance of promotion among the lower factors, followed by the conservative level, the work itself, and interpersonal relationships. Second, the analysis of job satisfaction according to the general characteristics of the subjects revealed statistically significant differences with respect to age, marital status, highest education level, service period, average pay, and average working hours of the occupational therapists. Third, the sub-category of job satisfaction and self-respect showed the most positive correlation with the person-in-charge, and the sub-category of job satisfaction and the quality of life showed the most positive correlation with interpersonal relationships. This shows that higher job satisfaction increases the self-esteem and quality of life. Fourth, the significant task satisfaction sub-factor predictor for the self-esteem of the occupational therapists was the job itself, and the significant job satisfaction sub-factor predictor for quality of life was interpersonal relationships. Conclusion : The results of this study showed that among the sub-categories of job satisfaction of the occupational therapists, work itself and interpersonal relationships had the greatest effect on the self-esteem and quality of life of the occupational therapists.

재난대응 이동형 병원의 역사적 배경 및 배치 특성 연구 - 군 이동병원을 중심으로 (A Study on the Historical Background and Deployment Characteristics of Mobile Hospital for Disaster - Focused on Military Mobile Hospitals)

  • 양민규;서상욱;이영
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제24권3호
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    • pp.39-47
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    • 2018
  • Purpose: The purpose of this study is to examine the deployment types and characteristics of mobile hospitals with it's historical backgrounds. Methods: Since the disaster can not be classified by country, the scope of the study is to include both domestic and foreign mobile hospitals. In order to minimize the casualties from the field hospitals used at the time of the First World War, which is the mother of mobile hospitals, we analyzed the mobile hospitals which are more compact and changed to the target areas and analyzed the mobile hospitals. Results: Historically, mobile hospitals have been transformed in a way that they are close to the target area and rapidly inject essential elements, and the deployment of wards has evolved to be able to combine in any form with center corridor. In the case of hospitals that can deal with infectious diseases, each treatment room was installed separately to thoroughly separate the copper wire. Implications: As disaster damage increases and incidence increases, field response should be quick. However, research on mobile hospitals, which are indispensable for field response in Korea, has not been conducted in various ways. From the origins of mobile hospitals, the development process is reviewed, and research is carried out to clarify the grounds and backgrounds for the planning of mobile hospitals that are quick and appropriate to the situation in Korea and abroad.

뇌졸중과 척수손상환자에게 적용되는 간호진단에 관한 연구 (A Study on Rehabilitation Nursing Diagnoses used for the Clients with Stroke and Spinal Cord Injury in Korea)

  • 서문자;임난영;강현숙;김금순;양광희;조복희;이명화;오혜경
    • 재활간호학회지
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    • 제2권1호
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    • pp.22-28
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    • 1999
  • The development of standards and guidelines of rehabilitation nursing has been the major concerns for providing better nursing to the rehabilitation clients. As the patients with stroke and spinal cord injuries are the most prevalent physical disabilities in Korea, this study focussed on the nursing diagnoses of these two groups of patients. In order to identify the nursing diagnoses frequently used In their practice for the patients with stroke and spinal cord injuries, a survey was done with the questionnaire form developed by the research team. The surveyee were the staff nurses working at rehabilitation wards more than 2 years from 8 general hospitals in Korea, They identified and set the priorities of 13 nursing diagnoses from 79 stroke patients and 10 nursing diagnoses from 35 patients with spinal cord injuries during the periods from March 1 to June 2, 1999. The identified nursing diagnoses for the stroke patients are impaired physical immobility, sensory-perceptual alteration, activity intolerance, self-care deficit, altered defecation, altered urination, risk for injury, unilateral neglect, impaired skin integrity, altered thought processes, pain, altered health maintenance, dysreflexia. The identified nursing diagnoses for spinal cord injuries are altered urination, altered defecation, impaired skin integrity, pain, risk for injury, reflex incontinence, impaired physical immobility, self-care deficit, activity intolerance, knowledge deficit.

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